NPI | 1437133386 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 50238) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NH 9113) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2016-08-12 |